Lupus Hepatitis

3 Learning Points Today:

1.  If you have Gilbert's Syndrome (a common familial hyperbilirubinemia), you are more likely to have a long life!  I now know 3 residents in this program with Gilbert's and am both impressed and jealous.  The suspected mechanism of this are the antioxidant properties of bilirubin.  Eat your blueberries.

2.  Lupus Hepatitis is quite rare, especially as the sole presenting symptom/disease.  Those with lupus are more likely to develop drug-induced hepatitis from the medications they take to control their SLE rather than and autoimmune-mediated hepatitis.

3. Lupus Hepatitis, like autoimmune hepatitis, is treated first line with steroids.